Individual
JENNIFER SUE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
312 9TH ST SW, WAVERLY, IA 50677-2929
(319) 352-5644
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02611
IA
Other
Enumeration date
04/25/2007
Last updated
02/07/2022
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